Critical Chest Radiographs: Can't-Miss Diagnoses
Lars Grimm, MD, MHS | April 19, 2017
Many chest radiographs are first viewed by non-radiologists, who must be able to quickly recognize critical findings that identify patients who need emergent care. This image depicts a massive pneumoperitoneum following surgery.
Image courtesy of Medscape.
A pneumothorax occurs when air fills the space between the parietal and visceral pleura. A primary spontaneous pneumothorax occurs i...

Diffuse Subcutaneous Emphysema Following Tracheal Perforation
Andrew Keenan, William Browne, Maneesh Bhargava
AJRCCM Articles in Press.
Published on 17-March-2017 as 10.1164/rccm.201611-2394IM
A 77-year-old woman without prior lung disease experienced a respiratory arrest at home requiring an emergency medical response. A King LT TM supraglottic airway was placed as endotracheal intubation was unsuccessful. She developed massive soft tissue swelling during ...

Images in Clinical Medicine
Incidental Finding of Oleothorax
Abhilash Koratala, Vikrampal Bhatti.
N Engl J Med 2017; 376; e21
DOI:10.1056/NEJMicm1609176
An 86-year-old woman with hypertension who had been treated for pulmonary tuberculosis in the 1950s presented with burning chest and epigastric pain. She had no respiratory symptoms. After acute coronary syndrome was ruled out, she was treated for gastroesophageal reflux, which relieved her symptoms. A chest radiog...

IMAGING IN INTENSIVE CARE MEDICINE
A nasoenteral feeding tube barking up the wrong tree
Hafiz Abdul Moiz Fakih, Salim Daouk, Martin Runnstrom, et al.
Intensive Care Med
DOI 10.1007/s00134-017-4686-3
A 58-year-old woman with multiple co-morbidities, including a history of kidney and pancreas transplant, was admitted to the intensive care unit for management of septic shock. She had a prolonged course and had a small-bore nasoduodenal feeding tube placed under electr...